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Organization
NORTHWEST ONCOLOGY & HEMATOLOGY, PLLC
Active
Organization
NORTHWEST ONCOLOGY & HEMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ALAN OLSHAN DO (PHYSICIAN MANAGER)
(623) 879-6034
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, SUITE 303, PHOENIX, AZ 85027-4013
(623) 879-6034
(623) 879-8164
Mailing address
19636 N 27TH AVE, SUITE 303, PHOENIX, AZ 85027-4019
(623) 879-6034
(623) 879-8164
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1376
AZ
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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